Organization
SOUTHERN MAINE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARTAGLIA PSYD (OWNER)
(603) 380-6770
Entity
Organization
Contact information
Practice address
20 INDEPENDENCE DR STE 3A, FREEPORT, ME 04032-1154
(603) 380-6770
Mailing address
20 INDEPENDENCE DR STE 3A, FREEPORT, ME 04032-1154
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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